Appendix K

P-12 STUDENT DIVERSITY DEMOGRAPHICS

OF STUDENTS SERVED
BY WSU EDUCATION MAJORS
Check one:
Field Experience
X

Licensure Area/s:
Elementary Education (K-6)

Practicum A
Clinical Practice
Practicum B

WSU Students Name

Nicole Stanley
School District
Rochester Public Schools #535

Classroom Teachers Name

Linda Rud
School Name
Elton Hills

Please estimate the number of students you

served who are described by the following
categories:

Please specify the number of students with

Individual Education Programs (IEPs):

_3_ African-American
_1_ American Indian
_2_ Asian
_4_ Hispanic
_0_ Migrant
_2_ Multi-Ethnic
20 White
_2_ Gifted and Talented
_6_ Limited-English Proficiency
N/A Title I (Reading/Math)

___ Autism Spectrum Disorder

___ Blind-Visually Impaired
___ Deaf-Blind
___ Deaf and Hard of Hearing
_1_ Developmental Cognitive Disabilities
___ Developmental Delay (Birth to Age 7)
_1_ Emotional/Behavioral Disorders
_2_ Language/Speech Delay
_1_ Learning Disabilities
___ Other Health Disabilities (includes
Attention Deficit Disorders)
___ Physically Impaired
___ Traumatic Brain Injury

Please return this form by ___September 25, 2015_______ to ______

____________414 D2L Dropbox_______________________________.
Address:
___________________________________________________________________.